Individual
JENNI ANNE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT, PEER
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5000
Mailing address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
12/07/2018
Last updated
08/20/2021
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